Our View: Building consensus at City of Hope
Join the discussion below, or Read more at San Gabriel Valley Tribune.
#1 Jun 6, 2010
While it might be feasible for individual practices to use these small independent imaging and testing facilities, the truth is that patients who travel great distances to access the comprehensive care that City Of Hope offers want priority access and almost instantaneous results. Few have the time nor the funds to wander around SoCal on schedules that can be as much as weeks in between appointments only to have non-experts looking and treating the potential cancer patient. With the diversity of their services they can't provide the same urgency and compassion that the current COH staff provide. In our experience, the weakest link is often the poorly trained imaging specialist who generates the most angst during the detection phase. We would hate to see COH turn into a bureaucracy run facility where funding and payment becomes the primary driver for the level of care provided. That being said, we are realists and understand that runaway costs and out of control budgets could offer a similar COH demise to the doctors who choose to create new affiliations.
#2 Jun 7, 2010
Let the doctors run the foundation and contract with the hospital. The hospital knows what it can pay and the doctors know what they want in salary. They have to come together. The foundation run by the hospital puts the power in one place.
Maybe better, let the doctors work for the hospital. Other employees work directly for the employer. In any case 30 year contracts are stupid.
#3 Jun 12, 2010
I'm a doc at COH. You got it all wrong. The Foundations at other institutions are run by MDs. The COH foundation proposal has refused REPEATEDLY to let any MDs on the board. All board members are business people. Also,we all get paid at the LOW end of the pay scale; some get 100K a year (you can verify this). The foundation wants to lower it some more. Also, usually most MDs join a foundation willingly because it is a win-win situation (the hospital contributes to overhead, for example), but here we have all refused to join. What does that tell you? Finally, because of the lawsuit, the foundation is on hold, and COH has formed a for profit corp, and wants us to join. Now they are for profit. That means there won't be any savings.
The reason that other MDs join foundations today is because Medicare pays better to foundations than to docs. NO SAVINGS FOR HEALTHCARE!
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